The Influence of Change-Oriented Leadership and Psychological Safety on Team Learning in Healthcare Teams

Purpose

Researchers have identified team learning as an important predictor of team performance. In healthcare organizations, it is especially critical for care quality and hospital performance that teams engage in learning behaviors to reduce errors and improve service effectiveness. The main objective of this study is to examine the role of change-oriented leadership in the learning process and outcomes of healthcare teams.

Design/Methodology/Approach

The sample comprises a total of 698 healthcare professionals working in 107 teams at different public hospitals throughout Spain. Members of teams were invited to participate voluntarily by completing an anonymous individual questionnaire.

Findings

The results show a mediating effect of team learning on the relationship between change-oriented leadership and team performance and psychological safety and team performance.

Originality/Value

Our study contributes to the literature by investigating the role of change-oriented leadership in facilitating team learning behaviors. Moreover, this study advances our understanding of the mediators of the relationship between team leadership and outcomes by testing to assess whether specific change-oriented leader behaviors nurture psychological safety, team learning and, therefore, performance.

     

Attachment and Autism: Parental Attachment Representations and Relational Behaviors in the Parent-Child Dyad

While attachment research has demonstrated that parents’ internal working models of attachment relationships tend to be transmitted to their children, affecting children’s developmental trajectories, this study specifically examines associations between adult attachment status and observable parent, child, and dyadic behaviors among children with autism and associated neurodevelopmental disorders of relating and communicating. The Adult Attachment Interview (AAI) was employed to derive parental working models of attachment relationships. The Functional Emotional Assessment Scale (FEAS) was used to determine the quality of relational and functional behaviors in parents and their children. The sample included parents and their 4- to 16-year-old children with autism and associated neurodevelopmental disorders. Hypothesized relationships between AAI classifications and FEAS scores were supported. Significant correlations were found between AAI classification and FEAS scores, indicating that children with autism spectrum disorders whose parents demonstrated secure attachment representations were better able to initiate and respond in two-way pre-symbolic gestural communication; organize two-way social problem-solving communication; and engage in imaginative thinking, symbolic play, and verbal communication. These findings lend support to the relevance of the parent’s state of mind pertaining to attachment status to child and parent relational behavior in cases wherein the child has been diagnosed with autism or an associated neurodevelopmental disorder of relating and communicating. A model emerges from these findings of conceptualizing relationships between parental internal models of attachment relationships and parent-child relational and functional levels that may aid in differentiating interventions.     

The Implementation of Mindfulness‐Based,Trauma‐Informed Parent Education in an Underserved Latino Community: The Emergence of a Community Workforce

In this practice‐oriented program review, a mindfulness‐based, trauma‐informed parent intervention, called Safe, Secure and Loved? (SSL), designed to strengthen nurturing parenting and children's resilience, was implemented in an underserved Latino community. Across 5 years, a volunteer community workforce of promotoras transformed an academic–community research partnership into a community‐led program partnership and established sustainable agency parent education programming. To better understand this transformation, we used a modified implementation science (IS) framework to structure interviews from members of the academic–community research partnership. Findings suggest that the commitment and cultural expertise of the volunteer community workforce acted as the major leadership drivers to create the community‐led program partnership. Employing mindfulness‐based, trauma‐informed parent education designed to promote nurturing parenting and children's resilience may be an effective training model to engage and mobilize a volunteer community workforce from an underserved community.     

Crossing borders and demolishing boundaries: the connected history of the Israeli transgender community 1953–1986

ABSTRACT

This is the first study to examine the early history of the Israeli transgender community. It covers three decades of transgender activity, from Rina Nathan’s public campaign in the 1950s to permit gender confirmation surgeries in the country to the decision in 1986 to allow surgeries in one public hospital after a lengthy vetting process that de facto held up or disqualified the great majority of applications. The main focus of this study is the generation of “founding mothers” of the transgender community in the 1960s and 1970s and their quest to obtain knowledge, medical technology and paperwork necessary for their gender journeys. We argue that decades before the creation of the internet, Israeli trans pioneers crossed domestic and international boundaries (both social and spatial) and created a network, which later generations of transgender women and men would depend on. This article relies on oral history, contemporaneous media reports and archival documents.     

Personifying the Radical

This study examines relationships among individual dispositions, news framing of civil liberties restrictions, security concerns, and political tolerance. We theorize that news frames condition the effects of individual dispositions on security and tolerance attitudes. To explore these relationships, an online‐survey experiment was conducted with 650 respondents. This experiment presented alternative versions of news stories about domestic security policies following September 11, and the policies' implications for a fringe activist group. One factor was whether the activists targeted by the government advocated for a cause supported or opposed by the respondent; another factor was whether the story framed government actions against the activists at the individual or group level. Findings show that individual framing—as opposed to group framing—made participants less tolerant of radicals they opposed and more tolerant of radicals they supported. Similar effects were observed for political ideology. Implications of personification as a framing device are discussed.     

Halakhah as Torat Hayyim: the values-conscious visions of Eliezer Berkovits and Emanuel Rackman

In the third quarter of the twentieth century, Eliezer Berkovits and Emanuel Rackman were two of the most articulate spokesmen of an approach to the interpretation and application of Jewish law, in the United States, identified with modern Orthodoxy. Each viewed their understanding of the development of Halakhah as an organic expression of the millennia-old process that is torat hayyim, living Torah. Both Berkovits and Rackman moved to Israel in the 1970s; each was, increasingly, marginalized in the world of organized Orthodoxy.

The tropes sounded by Berkovits and Rackman were remarkably consistent over their careers. One particular area that both recognized as urgently calling for halakhic development was matters relating to women. In this connection, as with other issues they addressed, they maintained that Torah principles of the ethical have a significant role to play in Jewish legal development. This essay focuses on the visions of halakhic development articulated by Berkovits and Rackman during the third quarter of the twentieth century.